Abstract
OBJECTIVE. A treatment package combining oral-motor and behavioral interventions was implemented tor a 6-year-old girl with Down syndrome referred to an intensive day treatment feeding program for gastrostomy tube dependence and food refusal. The participant exhibited a tongue thrust, resulting in the expulsion of all foods presented. METHOD. An oral-motor procedure was used to reduce the tongue thrust and allow the food to be swallowed. This procedure was paired with positive reinforcement and escape prevention to increase oral consumption of liquids and solids. A multiple-probe design was used to evaluate treatment effectiveness. RESULTS. By the end of treatment, tube feedings were eliminated and tongue thrust was significantly reduced. CONCLUSION. This intervention demonstrated the successful combination of oral-motor and behavioral components in the treatment of a severe feeding problem. It could serve as a model for the development of future interventions.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 384-391 |
| Number of pages | 8 |
| Journal | American Journal of Occupational Therapy |
| Volume | 61 |
| Issue number | 4 |
| DOIs | |
| State | Published - Jan 1 2007 |
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All Science Journal Classification (ASJC) codes
- Occupational Therapy
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Reducing tube feeds and tongue thrust : Combining an oral-motor and behavioral approach to feeding. / Gibbons, Bridget G.; Williams, Keith; Riegel, Katherine E.
In: American Journal of Occupational Therapy, Vol. 61, No. 4, 01.01.2007, p. 384-391.Research output: Contribution to journal › Article
TY - JOUR
T1 - Reducing tube feeds and tongue thrust
T2 - Combining an oral-motor and behavioral approach to feeding
AU - Gibbons, Bridget G.
AU - Williams, Keith
AU - Riegel, Katherine E.
PY - 2007/1/1
Y1 - 2007/1/1
N2 - OBJECTIVE. A treatment package combining oral-motor and behavioral interventions was implemented tor a 6-year-old girl with Down syndrome referred to an intensive day treatment feeding program for gastrostomy tube dependence and food refusal. The participant exhibited a tongue thrust, resulting in the expulsion of all foods presented. METHOD. An oral-motor procedure was used to reduce the tongue thrust and allow the food to be swallowed. This procedure was paired with positive reinforcement and escape prevention to increase oral consumption of liquids and solids. A multiple-probe design was used to evaluate treatment effectiveness. RESULTS. By the end of treatment, tube feedings were eliminated and tongue thrust was significantly reduced. CONCLUSION. This intervention demonstrated the successful combination of oral-motor and behavioral components in the treatment of a severe feeding problem. It could serve as a model for the development of future interventions.
AB - OBJECTIVE. A treatment package combining oral-motor and behavioral interventions was implemented tor a 6-year-old girl with Down syndrome referred to an intensive day treatment feeding program for gastrostomy tube dependence and food refusal. The participant exhibited a tongue thrust, resulting in the expulsion of all foods presented. METHOD. An oral-motor procedure was used to reduce the tongue thrust and allow the food to be swallowed. This procedure was paired with positive reinforcement and escape prevention to increase oral consumption of liquids and solids. A multiple-probe design was used to evaluate treatment effectiveness. RESULTS. By the end of treatment, tube feedings were eliminated and tongue thrust was significantly reduced. CONCLUSION. This intervention demonstrated the successful combination of oral-motor and behavioral components in the treatment of a severe feeding problem. It could serve as a model for the development of future interventions.
UR - http://www.scopus.com/inward/record.url?scp=34548040498&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=34548040498&partnerID=8YFLogxK
U2 - 10.5014/ajot.61.4.384
DO - 10.5014/ajot.61.4.384
M3 - Article
C2 - 17685170
AN - SCOPUS:34548040498
VL - 61
SP - 384
EP - 391
JO - American Journal of Occupational Therapy
JF - American Journal of Occupational Therapy
SN - 0272-9490
IS - 4
ER -